Volume 12, Number 6, November-December 2005

Progress in cardiology in northern England?
Klaus KA Witte, Andrew L Clark

Patients attending cardiology clinics, particularly those with chronic heart failure (CHF), frequently have co-morbidities and attend other hospital medical clinics. We examined the case notes of 162 patients attending two cardiology clinics. Many patients’ notes extended to more than one volume (20%). Patients with CHF were more likely to require rubber bands to maintain control of their notes than other cardiac patients. Despite efforts to move to a paperless record keeping system, rubber bands still play a major role in the NHS.

Br J Cardiol 2005;12:441.

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